My wife and I were perfectly capable of paying for her transplant operation after some fund raising, and both the hospital and the insurance company knew this as for her to qualify for transplant they examined our finances. We also make more than enough to pay for the anti-rejection medication. We had zero need for Medicare. This didn't matter. As soon as she entered renal failure, she was forced onto Medicare. There are absolutely people receiving assistance who do not need it and in some cases do not want it.